OLD TOWN PHARMACY LLC (NPI# 1437789237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437789237 |
| Entity Type | Organization |
| Organization Name | OLD TOWN PHARMACY LLC |
| Practice Address |
100 Chapel Dr Ste A Monett MO 65708-9378 |
| Practice Telephone | 4176351100 |
| Mailing Telephone | 4176351100 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MR. KELLY M HALL (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 4176351100 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578754701 | Old Town Pharmacy LLC | Pharmacy | 100a Chapel Drive, Monett, MO 65708 | 2007-08-05 |
| Street Address |
100 CHAPEL DR STE A |
| City | MONETT |
| State | MO |
| Zip Code | 65708-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386767788 | Shane Micheal Becker | Pharmacist | 100 Chapel Dr Ste A, Monett, MO 65708-9378 | 2007-04-09 |
| 1316571656 | Paabs LLC | Family Medicine | 100 Chapel Dr Ste A, Monett, MO 65708-9378 | 2020-02-25 |
| 1770114738 | Matt Keim | Pharmacist | 100 Chapel Dr Ste A, Monett, MO 65708-9378 | 2020-01-29 |
| 1518598598 | Michael Paul Peppers | Pharmacist | 100 Chapel Dr Ste A, Monett, MO 65708-9378 | 2020-01-29 |
| 1922660307 | Samantha Marie Hoffmann | Pharmacist | 100 Chapel Dr Ste A, Monett, MO 65708-9378 | 2019-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
| 1386010767 | Kathleen Josef Cook | Physical Therapist | 700 E. Cleveland Ave., Monett, MO 65708 | 2015-08-19 |
| 1427443829 | Jeremy Cash Graddy | Physical Therapist | 864 E Us Hwy 60, Suite A, Monett, MO 65708 | 2015-04-02 |
| 1871925529 | Kimberly K Mundt | Counselor | 1701 N Central Ave., Monett, MO 65708 | 2013-08-05 |
| 1114269776 | Amy J Cole | Counselor | 1701 N. Central, Monett, MO 65708 | 2013-03-21 |
| 1538444120 | Brenda Kay Barger-saunders | Respiratory Therapist, Certified | 807 North Lincoln Avenue, Asthma Education Program, Monett, MO 65708 | 2011-10-15 |
| 1164752622 | Clark Community Mental Health Center | Clinic/Center | 1701 North Central St, Monett, MO 65708 | 2010-01-06 |
| 1497918320 | Clark Community Mental Health Center | Counselor | 1701 North Central Ave, Monett, MO 65708 | 2008-07-10 |
| 1295929644 | Apex Physical Therapy, LLC | Clinic/Center | 100 Chapel Drive, Suite C, Monett, MO 65708 | 2007-08-29 |
| Find all providers in zip 65708 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1780229690 | Dalpoas Group Inc | Pharmacy | 4245 Forest Park Ave Ste B, Saint Louis, MO 63108-2810 | 2019-11-14 |
| 1053953109 | Summers Pharmacy of Slater, LLC | Pharmacy | 102 E Maple St, Slater, MO 65349-1539 | 2019-10-10 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1548733769 | Guardian Pharmacy of St. Louis, LLC | Pharmacy | 926 S Highway Dr, Fenton, MO 63026-2023 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.